Cynthia Liskov, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD031072E Issued in PA

Practice address

700 E Broad St
Hazleton, PA 18201-6835

Phone

(570) 501-4193

Fax

(570) 501-4109

NPI assigned

Feb 17, 2006

Last updated

Oct 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • Wilkes Barre, PA
  • NPI 1720124811
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1821062555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1754",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181051754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016835",
            "telephone_number": "570-501-4193",
            "fax_number": "570-501-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISKOV",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD031072E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011390790007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lehigh Valley Physician Group (LVPG Family Medicine - Vine Street)
• Lehigh Valley Physician Group (LVPG Family and Internal Medicine - Alliance Drive)
• Lehigh Valley Physician Group
• Jodi Washinsky Lenko, MD
• Leonard J Nork DC (Nork Chiropractic Associates)
• Alicia Litchkofski, OTR
• Nicole H Litostansky
• Sharon Marie Lombard, M.D.
• Agapito Lopez Rivera, M.D.
• Vadim Loshakov I, M.D.

• Emergency Medicine Physician in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.